APPENDIX PP

RETENTION OF LABORATORY RECORDS AND MATERIALS

The College of American Pathologists makes the following recommendations for the minimum requirements for the retention of laboratory records and materials. They meet or exceed the regulatory requirements specified in the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88). The College of American Pathologists urges laboratories to retain records and/or materials for a longer period of time than specified when such would be appropriate for patient care, education or quality improvement needs. Some state regulations as well as other federal mandates may require retention of records and/or materials for a longer time period than that specified in the CLIA-88 regulations; therefore any applicable state or federal laws should be reviewed carefully when individual laboratories develop their record retention policies.

MATERIAL/RECORD PERIOD OF RETENTION

General Laboratory

Accession log records2 years

Maintenance/instrument maintenance2 years

Quality control records2 years

Surgical Pathology (including bone marrows)

Wet tissue2 weeks after final report

Paraffin blocks10 years

Slides10 years

Reports10 years

Cytology

Slides (negative-unsatisfactory)5 years

Slides (suspicious-positive)5 years

Fine needle aspiration slides10 years

Reports10 years

Non-Forensic Autopsy Records

Wet tissue3 months after final report

Paraffin blocks10 years

Slides10 years

Reports10 years

Forensic Autopsy Records

Wet stock tissue3 years

Paraffin blocksIndefinitely

ReportsIndefinitely

SlidesIndefinitely

Gross photographs/negativesIndefinitely

Accession log recordsIndefinitely

Body fluids and tissues for toxicology1 year

Dried blood stain or frozen tissues for DNAIndefinitely

Clinical Pathology Records

Patient test records2 years

Serum/CSF/Body fluids (except urine)48 hours

Urine24 hours

Peripheral blood smears/body fluid smears7 days

Permanently stained slides – microbiology

(gram, trichrome, etc)7 days

Cytogenetics Records

**Permanent stained slides3 years

**Fluorochrome stained slidesAt the discretion of the laboratory director

Wet specimen/tissueUntil adequate metaphase

cells are obtained Fixed cell pellet 2 weeks after final report

Final reports20 years

Diagnostic images (digitized or negatives)20 years

Blood Bank

Donor10 years

Patient records10 years

Records of employee signatures,

initials, and identification codes10 years

Quality control records5 years

Records of indefinitely deferred donors,Indefinitely

permanently deferred donors, or donors

placed under surveillance for the

recipient’s protection (e.g., those donors

that are Hepatitis B Core positive once,

donors implicated in a hepatitis positive

recipient)

Specimens from blood donors

units and recipients7 days post-transfusion

Adopted 8/95

Revised 9/95

Reaffirmed 8/98

Revised 11/00

Revised 11/01

**Revised 11/04